Poised for peak performance in healthcare : a practical approach to execute expense reduction and revenue enhancement initiatives

177 Pages·2018·2.682 MB·English

by  Birjandi, Ali

Poised for Peak
Performance in Healthcare

Poised for Peak
Performance in Healthcare
A Practical Approach to Execute Expense
Reduction and Revenue Enhancement
Initiatives
By
Ali Birjandi, MBA, MHA, SSBB, CPHIMS
A PRODUCTIVITY PRESS BOOK
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Library of Congress Cataloging- in- Publication Data
Names: Birjandi, Ali, author.
Title: Poised for peak performance in healthcare : a practical approach to
execute expense reduction and revenue enhancement initiatives / Ali
Birjandi.
Description: Boca Raton : Taylor & Francis, 2018. | Includes bibliographical
references and index.
Identifiers: LCCN 2017053387 (print) | LCCN 2017055459 (ebook) | ISBN
9781315175669 (ebook) | ISBN 9781138039667 (pbk. : alk. paper) | ISBN
9781138039742 (hardback : alk. paper)
Subjects: | MESH: Practice Management | Delivery of Health Care--organization
& administration | Delivery of Health Care--economics
Classification: LCC RA971.3 (ebook) | LCC RA971.3 (print) | NLM W 80 | DDC
362.1068--dc23
LC record available at https://lccn.loc.gov/2017053387
Visit the Taylor & Francis Web site at
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To my wife, Kathleen, for all of the support she has given
me throughout this effort. Most of this work was done
on weekends, nights, while on vacation, and other times
inconvenient to my family. And to my sons, Cameron,
Jordan, and Aidan, who are the inspiration in my life.

CONTENTS
CONTENTS
Preface .......................................................................... ix
Acknowledgments ........................................................ xi
How to Maximize the Value of This Book ..................xiii
About the Author ..........................................................xv
SECTiON i KEY REQUiRED CHANGES
iN THE DELiVERY MODEL
1 Healthcare Drivers in the Next Decade ...................3
2 Developing True Leadership Alignment ................15
3 Creating a Robust Performance Improvement
Program .................................................................25
4 Upgrade the Project Management Office ...............39
5 Governance Structure: The Engine for
Sustainability .........................................................51
SECTiON ii SETTiNG UP THE iNFRASTRUCTURE
iN 100 DAYS iN 6 KEY AREAS
6 Non-Labor—The #1 Missed Opportunity in
Healthcare ..............................................................61
7 Labor: Controlling Labor Permanently ..................75
8 Length of Stay: Curing the Expense Disease .........93
vii
CONTENTS
viii ◾ CONTENTS
9 Access: Step One in Managing Service and
Growth .................................................................107
10 Optimizing the Revenue Cycle Process ...............119
11 Getting Comfortable with the Uncomfortable .....129
Closing: Your Organization Is Only 100 Days
Away from High Performance ....................................141
Index ..........................................................................155
Preface
Preface
The human determination for longevity and good health is
deeply rooted in our genetic code for survival. It is this human
drive that compels many of us to go into healthcare and serve
our communities. Unfortunately, our ability to provide access
to cost-effective care has diminished every year for the past
three decades. This is a direct result of our inability to change
quickly in an era of high competition and lower reimburse-
ments. My motivation in writing this book was based on the
sincere desire to advance the evolution of healthcare through
best practices for all communities.
At 18% of GDP, the US healthcare system is, without rival,
the most expensive in the world. For three decades, our great-
est leaders have been working to improve cost, quality, and
service, without much success. Although many organizations
have learned to do well, some still do not know the basic
principles that lead to high performance. As pressures from
regulatory agencies, consumers, and competition heat up in
the next decade, many organizations will find themselves des-
perate for practical solutions for their very survival.
This book is a culmination of my 25 years of healthcare
Performance Improvement (PI) experience in top-performing
systems across the United States, and my attempt to dissemi-
nate operational best practices by sharing what has worked
and what has not. It is a step-by-step “how to” book to help
set up basic programs around traditional expense reduction
ix